A client has just begun exhibiting signs of myasthenia gravis. The nurse anticipates assessment of the client to include:

What is the most important nursing intervention for a client having a tonicclonic seizure?

A client recalls smelling an unpleasant odor before his seizure. What would the nurse document this as?

A client has just started taking phenytoin (Dilantin) and asks the nurse if there are any adverse effects to be aware of. The best response by the nurse is:

A client asks the nurse if he can drink alcohol while taking phenytoin. What is the best response by the nurse?

When assessing vital signs in a client with a seizure disorder, which measure is used?

A client in status epilepticus arrives at the emergency department accompanied by a family member. The nurse asks the client’s family member if anything may have predisposed the client to this condition. The nurse is most concerned when the family member states that the client:

A client with suspected multiple sclerosis (MS) undergoes a lumbar puncture. The nurse understands that the results of the cerebrospinal fluid (CSF) may show:

A nurse observes a client experiencing involuntary, jerking, rhythmic movements of the eyes. The nurse documents this which condition?

Which symptom occurs initially in Parkinson’s disease?

One hour after receiving pyridostigmine bromide (Mestinon), a client reports difficulty swallowing and excessive respiratory secretions. The nurse notifies the physician and prepares to administer which medication?

A client with suspected myasthenia gravis is to undergo a Tensilon test. The client asks if the Tensilon can be used to treat myasthenia gravis. The best response by the nurse is:

The nurse is teaching a client newly diagnosed with glaucoma about the importance of medication compliance. The nurse determines that teaching has been effective when the client states that noncompliance may result in:

A nurse is evaluating a client to determine the extent of Parkinson’s disease. The nurse would observe for which symptom?

A client is admitted with Parkinson’s disease. The client’s face is expressionless, and the client’s speech is monotone. Which of the following observations by the nurse is most accurate?

A client who was diagnosed with multiple sclerosis (MS) asks the nurse if there are any conditions or activities that may exacerbate MS. What is the best response by the nurse?

To evaluate the effectiveness of levodopa-carbidopa (Sinemet), a nurse should assess the client for:

Which antiparkinsonian drug can cause drug tolerance or toxicity if taken for too long at one time?

A young female client has been recently diagnosed with multiple sclerosis (MS) and wants more information on the disease. In teaching the client, which statement by the nurse is most accurate?

A client is experiencing early symptoms of multiple sclerosis (MS). What would the nurse expect to assess?

Two days after starting therapy with trihexyphenidyl, a client complains of a dry mouth. What is the most appropriate nursing intervention?

The most important intervention for nurse to implement when giving phenytoin (Dilantin) to a client with a nasogastric (NG) tube for feeding is:

A nurse is preparing to administer pilocarpine 1%, eyedrops to a client. The order reads: Instill 2 gtt both eyes four times a day. What is the correct administration?

The nurse is teaching a client with multiple sclerosis (MS) about ways to avoid exacerbation of the disease. What is the best information for the nurse to include?

When assessing a client with glaucoma, a nurse expects which finding?

A 20-year-old client with myasthenia gravis will undergo plasmapheresis. Which action describes the purpose of this procedure?

A client with multiple sclerosis (MS) is started on 20 mg of glatiramer (Copaxone) subcutaneously daily. Immediately after the injection, the client experiences flushing and chest pain. What is the most appropriate nursing intervention?

Which client would be most at risk for secondary Parkinson’s disease caused by pharmacotherapy?

The laboratory has just notified the nurse that a client on the unit has a phenytoin level of 32 mg/dl. The nurse would expect the client to display which symptom(s)?

A client with new-onset seizures of unknown cause is started on phenytoin (Dilantin), 750 mg I.V. now and 100 mg by mouth, three times a day. The nurse understands that the I.V. loading dose was given for which reason?